Introducing evidence-based family assessment and therapy in child and youth mental health services: Applying systemic principles to maintain, sustain and build capacity

The purpose of this article is to overview the context of the mental health service in which we work, and family therapy's status prior to and after the impact of changes wrought by the introduction of the National Mental Health Policy. We then explore some key issues that we think contribute to the persistence of the occlusion of family therapy in child psychiatric services; and the strategies that we developed and are continuing to develop to support change, finally, we describe the use of a family assessment instrument that we believe is central to our change strategy.

Outpatient Mental Health Services in Mozambique: Use and Treatments.

To describe current outpatient mental health service use and treatments in Mozambique, the authors reviewed registry entries for 2,071 outpatient psychiatric visits at the Beira Central Hospital in Sofala Province from January 2012 to September 2014. Service use was most common for schizophrenia, followed by epilepsy, delirium, and organic behavioral disorders. Only 3% of consultations for schizophrenia were first-visit patients. Treatment seeking among women was more likely for mood and neurotic disorders and less likely for substance use disorders and epilepsy. First-generation antipsychotics, most often paired with promethazine, dominated treatment regimens. Evidence-based reforms are needed to improve identification of mood disorders and broaden care beyond severe mental disorders.

Constructions of Clinical Psychology in Adult Mental Health: A Discursive Thematic Analysis

In face of the current economic-political changes facing the UK and its State institutions and of the new evidence about the impact of social inequality on human distress, this study attempts to understand the increasing practice of delivering psychological therapy by the British clinical psychology profession. A review of the critical histories of the profession in the UK identified the need for a more detailed study of the “history of the present” to reveal the discursive operations that construct professional practice. A discursive thematic analysis (DTA) based on the theoretical concepts of the late post-modern scholar Michel Foucault was used to explore public available documents produced by British clinical psychologists between 2010 and 2014. Two dominant professional discursive themes were identified: alternative and leadership. These themes were found to be supported by the discursive sub-themes of applied science, well-being, Cognitivism and therapy which align the aspiration of the profession with those of the State. The tension between the applied scientist and the therapist role - specifically the need to establish simultaneously the profession’s scientific credibility and its therapeutic abilities in order to respond to market pressures – showed recurrences of the conflicts of the early history of professionalization of clinical psychology. The positioning of clinical psychology against the use of functional psychiatric diagnosis and the challenges and opportunities identified by the opening of the NHS market to ‘any willing provider’ revealed how professional discourses operate to maintain the status quo. This study recommends that the socio-historical construction of the profession should be investigated further, in particular through the subjugated discourse identified here

Reactive Attachment Disorder in infants in foster care and associated mental health and cognitive functioning

Background: Reactive attachment disorder (RAD) has been described as one of the least researched and most poorly understood psychiatric disorders (Chaffin et al., 2006). Despite this, given what is known about maltreatment and attachment, it is likely that RAD has profound consequences for child development. Very little is known about the prevalence and stability of RAD symptoms over time. Until recently it has been difficult to investigate the presence of RAD due to limited measures for informing a diagnosis. However this study utilised a new observational tool Method: A cross sectional study design with a one-year follow-up explored RAD symptoms in maltreated infants in Scotland (n=55, age range= 16-62 months) and associated mental health and cognitive functioning. The study utilised the Rating of Inhibited Attachment Behavior Scale (Corval, et al., unpublished 2014) that has recently been developed by experts in the field along side The Disturbances of Attachment Interview (Smyke & Zeanah, 1999). Children were recruited as part of the BeST trial, whereby all infants who came in to the care of the local authority in Glasgow due to child protection concerns were invited to participate. The study sample was representative of the larger pool of data in terms of age, gender, mental health and cognitive functioning. Results: The sample was found to be representative of the population of maltreated children from which it was derived. Prevalence of RAD was found to be 7.3% (n=3, 95% CI [0.43 – 14.17]) at T1, when children are first placed in to foster care. At T2, following one year in improved care conditions, 4.3% (n=2, 95% CI [below 0 – 10.16]) met a borderline RAD diagnosis. Levels of observed RAD symptoms decreased significantly at T2 in comparison to T1 but carer reported symptoms of RAD did not. Children whose RAD symptoms did not improve were found to be significantly older and showed less prosocial behaviour. RAD was associated with some mental health and cognitive difficulties. Lower Verbal IQ and unexpectedly, prosocial behaviour were found to predict RAD symptoms. Conclusions: The preliminary findings have added to the developing understanding of RAD symptoms and associated difficulties however further exploration of RAD in larger samples would be invaluable.

first annual report state department of mental health columbia, south carolina july 11, 1963-june 30, 1964

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

2nd ANNUAL REPORT JULY 1, 1964 - JUNE 30, 1965 STATE DEPARTMENT of MENTAL HEALTH Columbia, South Carolina 1965

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1979-80

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1980-81

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1981-82

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1982-83

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1971-72

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1972-73

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1973-74

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1974-75

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH ANNUAL REPORT 1975-76

Each year the South Carolina State Hospital Commission submits an annual report to the General Assembly that contains the agency's mission, objectives to accomplish the mission, and performance measures that show the degree to which objectives are being met.